Week 3: ANS Case Study Discussion
Case Study & Discussion Questions
Margaret is a 59-year-old Caucasian female who presents to the clinic for follow-up of her
hypertension. She reports that she has a worsening of a tremor in her hand over the last
few months. She was seen by a neurologist previously and was diagnosed with an essential
tremor but opted to not take medication because it wasn’t particularly bothersome. She
reports now that she has difficulty pouring a drink, drinking from a cup, using utensils to
eat, and writing or drawing. Margaret also reports that since you started her on Clonidine
last month for her blood pressure, she has been having some difficulties with headaches,
dizziness, dry mouth and difficulty urinating. You plan to discontinue the clonidine.
Past Medical History: Hypertension, essential tremor and seasonal allergies.
Surgical History: Tonsillectomy.
Family History: Mother HTN & essential tremor, Father Diabetes, Sister Diabetes all
deceased.
Social History: Denies tobacco use, wine one to two glasses a week, denies recreational
drugs, exercises twice a week.
Allergies: NKA
Current medications: Multivitamin with Iron 1 tab PO daily, Allegra 10mg PO prn for
allergies, Clonidine 0.1mg PO BID
All vaccines up to date.
Vitals: Height 57 inches, Weight 145 pounds, BP 156/85, P 70, R 16.
Physical exam is normal.
Case Study & Discussion Questions
Margaret is a 59-year-old Caucasian female who presents to the clinic for follow-up of her
hypertension. She reports that she has a worsening of a tremor in her hand over the last
few months. She was seen by a neurologist previously and was diagnosed with an essential
tremor but opted to not take medication because it wasn’t particularly bothersome. She
reports now that she has difficulty pouring a drink, drinking from a cup, using utensils to
eat, and writing or drawing. Margaret also reports that since you started her on Clonidine
last month for her blood pressure, she has been having some difficulties with headaches,
dizziness, dry mouth and difficulty urinating. You plan to discontinue the clonidine.
Past Medical History: Hypertension, essential tremor and seasonal allergies.
Surgical History: Tonsillectomy.
Family History: Mother HTN & essential tremor, Father Diabetes, Sister Diabetes all
deceased.
Social History: Denies tobacco use, wine one to two glasses a week, denies recreational
drugs, exercises twice a week.
Allergies: NKA
Current medications: Multivitamin with Iron 1 tab PO daily, Allegra 10mg PO prn for
allergies, Clonidine 0.1mg PO BID
All vaccines up to date.
Vitals: Height 57 inches, Weight 145 pounds, BP 156/85, P 70, R 16.
Physical exam is normal.
